The Journal of the American Dental Association
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Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Multicenter clinical trial of ibuprofen and acetaminophen in the treatment of postoperative dental pain.
Pharmacological management of pain for acute and chronic conditions has been guided by a scientific understanding of peripheral and central acting mechanisms for the control of inflammation as well as pain. Oral surgery pain is a reliable model to reference the effectiveness of commonly used analgesics such as ibuprofen and acetaminophen. ⋯ After 6 hours, the degree of pain relief and tolerance was assessed. Ibuprofen has important implications for postoperative pain in clinical practice.
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Press reports and surveys of dentists in the United States suggest that HIV-infected persons may have considerable difficulty in securing dental care. To determine the actual experience of HIV-infected people, a personal interview survey of 125 HIV-infected patients at three HIV/AIDS clinics in Chicago was conducted. ⋯ Twenty-five of 26 dentists who knew their patients had HIV infection chose to treat them. Informed, nonrandom selection of dentists by the persons surveyed may partially explain the apparent discrepancy between their experience and that predicted by formal random surveys of dentists.
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Glossitis and glossodynia are commonly seen by the dental practitioner. The awareness that these symptoms in conjunction with other oral signs indicate pernicious anemia is important for the clinician. Correct diagnosis can be made, and neurological complications avoided. Two case reports are presented and typical oral and systemic features of pernicious anemia are discussed.
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A description and attempt to classify the newly revised DSM-III and IASP classification schemes and those persistent orofacial pain syndromes that are commonly considered to be significantly associated with psychological or psychosocial factors, either as primary causes or as factors contributing to the maintenance of the chronic pain state are presented. The classification schemes include the DSM-III-R of the American Psychiatric Association and the new IASP taxonomy system, are the two systems currently available for classifying chronic orofacial pain states that are often considered to represent psychogenic pain conditions.